Northside Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTHSIDE CHIROPRACTIC LLC

Practice address

2221 Plainfield Ave NE Ste 109
Grand Rapids, MI 49505-4215

Phone

(616) 951-1635

NPI assigned

Apr 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shauna McIver

Title

Office Manager

Phone

(616) 951-1635

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin McIver, D.C.

  • Chiropractor
  • Ionia, MI
  • NPI 1972944338
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1568959211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PLAINFIELD AVE NE STE 109",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054215",
            "telephone_number": "616-951-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PLAINFIELD AVE NE STE 109",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054215",
            "telephone_number": "616-951-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "MCIVER",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-951-1635"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.